Mary Lou Jacobsen, MSSW, LICSW | |
610 Florence Ave, Owatonna, MN 55060-4704 | |
(507) 451-2630 | |
(507) 455-8133 |
Full Name | Mary Lou Jacobsen |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 33 Years |
Location | 610 Florence Ave, Owatonna, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295824696 | NPI | - | NPPES |
4G504WA | Other | MN | BLUE CROSS BLUE SHIELD |
118039 | Other | MN | UCARE |
62-20365 | Other | MN | UNITED BEHAVIORAL HEALTH |
074027600 | Medicaid | MN | |
HP20016 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8206 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Central Human Relations Center | 8527065515 | 13 |
Entity Name | South Central Human Relations Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063437564 PECOS PAC ID: 8527065515 Enrollment ID: O20061220000267 |
Mailing Address | Practice Location Address |
---|---|
Mary Lou Jacobsen, MSSW, LICSW 610 Florence Ave, Owatonna, MN 55060-4704 Ph: () - | Mary Lou Jacobsen, MSSW, LICSW 610 Florence Ave, Owatonna, MN 55060-4704 Ph: (507) 451-2630 |
Alan J O'malley-laursen, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 | |
Katelin Swanson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2575 Harvest Ln, Owatonna, MN 55060 Phone: 507-446-0431 | |
Barbara L Durbahn, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 | |
Audrey Elizabeth Franklin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 S Oak Ave Ste 6, Owatonna, MN 55060 Phone: 507-676-6834 | |
Nicole Danielle Donelan-loeffler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 631 N Cedar Ave, Owatonna, MN 55060 Phone: 507-446-0431 Fax: 507-446-8014 | |
Colleen Elaine Solberg, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 134 E Vine St Ste 202, Owatonna, MN 55060 Phone: 507-455-1302 Fax: 507-455-1264 | |
Holly Christianson, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2575 Harvest Lane Nw, Owatonna, MN 55060 Phone: 507-446-0431 |